NPIMap

Organization Active NPI

Southern Medical Management, LLC

  • Pediatrics Physician
  • Lexington, SC
National Provider Identifier
1114196557
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOUTHERN MEDICAL MANAGEMENT, LLC
Practice address
424 Old Cherokee Rd
Lexington, SC 29072-6972
Phone
(803) 520-9380
Fax
(803) 520-9380
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. R. Kyle Guyton, M.D.
Title
Physician
Phone
(803) 520-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

424 Old Cherokee Rd
Lexington, SC 29072-6972

Mailing address

2214 Old Cherokee Rd
Lexington, SC 29072-9725
Phone (803) 520-9380

Other practice location 1

1223 S Lake Dr Ste G
Lexington, SC 29073-6889
Phone (803) 520-9370

Other practice location 2

141 E Church St Ste C
Batesburg Leesville, SC 29070-7066
Phone (803) 520-9261

Other practice location 3

237 Longtown Rd
Columbia, SC 29229-8550
Phone (803) 404-5638

Other practice location 4

1995 Saint Matthews Rd
Orangeburg, SC 29118-2405
Phone (803) 928-5525

Other practice location 5

216 E Main St
Lexington, SC 29072-3546
Phone (803) 520-8295

Other practice location 6

342 Patricia Ln Ste 105
Fort Mill, SC 29708-6608
Phone (803) 431-7490

Other identifiers 1

IdentifierTypeStateIssuer
GP4862MedicaidSC

Other names 7

  • SouthernMED Counseling Doing business as
  • SouthernMED Pediatrics Batesburg Leesville Doing business as
  • SouthernMED Pediatrics Fort Mill Doing business as
  • SouthernMED Pediatrics Hillcrest Doing business as
  • SouthernMED Pediatrics Lake Murray Doing business as
  • SouthernMED Pediatrics Northeast Columbia Doing business as
  • SouthernMED Pediatrics South Lake Doing business as

National Provider Directory

National Provider Directory

Locations

133 Thomas Green Blvd
Ste 20
Clemson, SC 29631

133 Thomas Green Blvd
Ste 202
Clemson, SC 29631

425 Summit Terrace Ct
#7B
Columbia, SC 29229

342 Patricia Ln
Ste 202
Fort Mill, SC 29708

141 E Church St
Leesville, SC 29070
Phone (803) 520-9261

141 E Church St
Ste C
Leesville, SC 29070
Phone (803) 520-9261

1223 S Lake Dr
Lexington, SC 29073
Phone (803) 520-5580

714 S Lake Dr
Ste 120
Lexington, SC 29072
Phone (803) 520-8295

2214 Old Cherokee Rd
Lexington, SC 29072

216 E Main St
Lexington, SC 29072
Phone (803) 520-8295

1633 S Lake Dr
Lexington, SC 29073
Phone (803) 520-8295

448 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 520-5800

1992 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 747-5606

312 Midland Pkwy
Summerville, SC 29485
Phone (843) 376-3700

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 79

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1114196557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 OLD CHEROKEE RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729725",
            "telephone_number": "803-520-9380",
            "fax_number": "803-520-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 OLD CHEROKEE RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726972",
            "telephone_number": "803-520-9380",
            "fax_number": "803-520-9380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 S Lake Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290736889",
            "country_code": "US",
            "telephone_number": "803-520-9370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 E Church St Ste C",
            "address_purpose": "LOCATION",
            "city": "Batesburg Leesville",
            "state": "SC",
            "postal_code": "290707066",
            "country_code": "US",
            "telephone_number": "803-520-9261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 Longtown Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292298550",
            "country_code": "US",
            "telephone_number": "803-404-5638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291182405",
            "country_code": "US",
            "telephone_number": "803-928-5525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723546",
            "country_code": "US",
            "telephone_number": "803-520-8295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Patricia Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086608",
            "country_code": "US",
            "telephone_number": "803-431-7490",
            "fax_number": "803-431-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "GUYTON",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-520-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4862",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthernMED Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernMED Pediatrics Batesburg Leesville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernMED Pediatrics Fort Mill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernMED Pediatrics Hillcrest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernMED Pediatrics Lake Murray",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernMED Pediatrics Northeast Columbia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernMED Pediatrics South Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.